Endoscopic assisted SARME

M.S. Maningky OMF Surgeon

SARME

•  Open technique le Fort I incision

•  Hyrax

•  Narrow maxilla

•  Nasal and zygomatic buttress, alveolar bone midline

Adverse effects

•  Postoperative pain and swelling

•  Oroantral communication

•  Reduced depth of labial fold due to scartissue contraction

Endoscopic assisted SARME

•  Single vertical midline incision

•  Subperiosteal tunnel

•  Storch 0' endoscope

•  Round bur

Single incision

Subperiosteal tunnel

Round burr

Zygomatic buttress

Bone incision

Contralateral side

Intact Schneiderian membrane

No scarring in labial fold

Benefit endoscopic vs open

•  Reduced postoperative pain and swelling?

•  No oroantral communication

•  No scartissue in labial fold

•  Direct visualisation distal to zygomatic buttress